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BMC Musculoskeletal Disorders
Published in: BMC Musculoskeletal Disorders 1/2017

Open Access 01-12-2017 | Research article

The Mayo conservative hip: complication analysis and management of the first 41 cases performed at a University level 1 department

Authors: Jörg Arnholdt, Fabian Gilbert, Marc Blank, Jannis Papazoglou, Maximilian Rudert, Ulrich Nöth, Andre F. Steinert

Published in: BMC Musculoskeletal Disorders | Issue 1/2017

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Abstract

Background

To prevent bone loss in hip arthroplasty, several short stem systems have been developed, including the Mayo conservative hip system. While there is a plethora of data confirming inherent advantages of these systems, only little is known about potential complications, especially when surgeons start to use these systems.

Methods

In this study, we present a retrospective analysis of the patients’ outcome, complications and the complication management of the first 41 Mayo conservative hips performed in 37 patients. For this reason, functional scores, radiographic analyses, peri- and postoperative complications were assessed at an average follow-up of 35 months.

Results

The overall HHS improved from 61.2 pre-operatively to 85.6 post-operatively. The German Extra Short Musculoskeletal Function Assessment Questionnaire (XSFMA-D) improved from 30.3 pre-operatively to 12.2 post-operatively. The most common complication was an intraoperative non-displaced fracture of the proximal femur observed in 5 cases (12.1%). Diabetes, higher BMI and older ages were shown to be risk factors for these intra-operative periprosthetic fractures (p < 0.01). Radiographic analysis revealed a good offset reconstruction in all cases.

Conclusion

In our series, a high complication rate with 12.1% of non-displaced proximal femoral fractures was observed using the Mayo conservative hip. This may be attributed to the flat learning curve of the system or the inherent patient characteristics of the presented cohort.
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Metadata
Title
The Mayo conservative hip: complication analysis and management of the first 41 cases performed at a University level 1 department
Authors
Jörg Arnholdt
Fabian Gilbert
Marc Blank
Jannis Papazoglou
Maximilian Rudert
Ulrich Nöth
Andre F. Steinert
Publication date
01-12-2017
Publisher
BioMed Central
Published in
BMC Musculoskeletal Disorders / Issue 1/2017
Electronic ISSN: 1471-2474
DOI
https://doi.org/10.1186/s12891-017-1613-2

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